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Absorbed vitamin B12 is transported via specific B12 binding proteins, transcobalamin I and II to the various tissues

(PubMed) Sato Y, Honda Y, Iwamoto J, Kanoko T, Satoh K

A B12 shot allows for quick administration of vitamin B12

Studies on GLP-1 receptor agonist users show mixed results: some patients maintain normal B12 levels, while othersparticularly those with pre-existing absorption issues, vegans, or those on long-term metforminmay develop subclinical B12 deficiency

Comment: A few commenters encouraged CMS to adopt a more incremental and transparent approach to implementing the proposed methodologic updates to the Overall Hospital Quality Star Rating